| NPI | 1245285113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 10080TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 10080 TPL) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2023-03-07 |